KRISTIN L WILEY
Controlled Substance Registration for Practitioner


Address: 15 W Rock Ave, New Haven, CT 06515

KRISTIN L WILEY (Credential# 1133144) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

KRISTIN L WILEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0054014. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 15 W Rock Ave, New Haven, CT 06515. The current status is active.

Basic Information

Licensee Name KRISTIN L WILEY
Credential ID 1133144
Credential Number CSP.0054014
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 15 W Rock Ave
New Haven
CT 06515
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-11-26
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-02-26

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588252 10.084250 Registered Nurse 2008-02-06 2019-12-01 - 2020-11-30 ACTIVE
944996 16.000341 Licensed Nurse Midwife 2010-07-21 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 15 W Rock AVE
City NEW HAVEN
State CT
Zip Code 06515

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Competitor

Search similar business entities

City NEW HAVEN
Zip Code 06515
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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